Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,317.13 / $4,836.51 / $20,680.40	Facility		$2,317.13	$4,836.51	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,548.13 / $26,184.36	Facility		$55.00	$2,548.13	$26,184.36
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $262.06 / $877.86 / $877.86	Facility	AS	$262.06	$877.86	$877.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,269.76 / $3,813.93 / $4,814.57	Facility		$2,269.76	$3,813.93	$4,814.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,722.00 / $3,600.42 / $3,861.88	Facility		$2,722.00	$3,600.42	$3,861.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,548.13 / $2,548.13 / $2,634.15	Facility		$2,548.13	$2,548.13	$2,634.15
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00